Southtowns Dental Services PC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0056431 Issued in NY

Legal business name

SOUTHTOWNS DENTAL SERVICES PC

Practice address

1497 Abbott Road
Lackawanna, NY 14218

Phone

(716) 825-5020

Fax

(716) 823-7115

NPI assigned

Aug 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin A D'Angelo, DDSNPI 1548313323

Title

Dentist/President

Phone

(716) 825-5020

Specialties & licenses 11

Addresses

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin August D Angelo, DDS

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1548313323
  NPD (past) Authorized official
• Maureen Callahan, DDS

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1255484424
  NPD (past)
• William Joseph D'Angelo, D.D.S.

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1104116748
  NPD (past)
• Frederick Fielding, DDS

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1487707816
  NPD (past)
• Ian St. Clair Gaskin, DDS

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1538212386
  NPD (past)
• Mackenzie Olivieri, DDS

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1720660004
  NPD (past)
• Elizabeth Schisa D Angelo, DDS

  • General Practice Dentistry
  • Lackawanna, NY
  • NPI 1083767263
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982616033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 ABBOTT ROAD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "14218",
            "telephone_number": "716-825-5020",
            "fax_number": "716-823-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 ABBOTT ROAD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "14218",
            "telephone_number": "716-825-5020",
            "fax_number": "716-823-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "716-825-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "358761",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0359351",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0410661",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "1461621",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047088",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "0189991",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "0160431",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "010445",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "0225201",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "0109281",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "0056431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Sheehy, SLP
• Karl N. Sheffield, SCHOOL PSYCHOLOGIST
• Mary A Smith
• Mary Beth Sojka, CDA,RDA
• South Park Pharmacy LLC
• Barbara Stengel, LCSW
• Paulette Lynn Stornelli, CDA,RDA
• Jaclyn Lee Strycharz, MSW
• Debra Lynn Stubeusz, MD
• Katherine Margaret Sweeney, MS OTR/L

• Dental Hygienist in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.